Archive for category: My Nursing Writer

Define each of these categories of securities and discuss the accounting treatment for each category.Define each of these categories of securities and discuss the accounting treatment for each category.

Review the following case study:

FASB ASC 320 requires companies to assign their portfolio of investment securities into:

Trading securities.
Securities available for sale.
Held-to-maturity securities.
Write a response of no more than 1,500 words in which you answer the following:

Define each of these categories of securities and discuss the accounting treatment for each category.
Discuss how companies are required to assign each category of securities into its current and noncurrent portions.
Discuss the arguments for each position. Some individuals maintain that the only proper accounting treatment for all marketable securities is current value. Others maintain that this treatment might allow companies to “manage earnings”.

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Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.
Paper, Order, or Assignment Requirements

Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.

Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.

Specifies civil monetary and other penalties for violation of the requirements of this Act.

Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.

Summary: S.864 — 114th Congress (2015-2016)All Bill Information (Except Text)

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There is one summary for S.864. Bill summaries are authored by CRS.
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Introduced in Senate (03/25/2015)

National Nursing Shortage Reform and Patient Advocacy Act

Amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios.

Directs HHS to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.

Gives nurses the right to act as the patient’s advocate by initiating action to improve health care and by giving the patient an opportunity to make informed health care decisions. Allows a nurse to object to, or refuse to participate in, any assignment if it would violate minimum ratios or if the nurse is not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing the nurse’s license. Prohibits a hospital from: (1) taking specified actions against a nurse based on the nurse’s refusal to accept an assignment for such a reason; or (2) discriminating against any individual for good faith complaints relating to the care, services, or conditions of the hospital or of any related facilities.

Adds stipends to the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

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What is the rate of pneumonia for patients who receive Vaccine X?”For Part 2 of your Team Database Project, you will plan a relational database that will address a simple, specific clinical question related to health care or nursing.

Database Plan

For Part 2 of your Team Database Project, you will plan a relational database that will address a simple, specific clinical question related to health care or nursing. You will determine this question and then write a paper describing in detail the database you plan to design based on your question. Your ultimate goal (Part 3) in this Team Database Project is to create a database using Microsoft Access that can answer a simple clinical question. Plan carefully to ensure that you will gather a sufficient amount of appropriate information. The project is being introduced to you this week so that when you go through the actual steps of designing and building a database, you will already have your question in mind, and thus, be better prepared to address it.

In database design, identifying the question to be asked is the most important activity. If the designers do not understand what the client wants out of the database, the database will not be useful. Time and money will be wasted. In the real world, designers return to the client at each stage of development to make sure the design is on track.

Make sure all of the team understands what questions are to be asked of the database and what type of answers you are seeking. Use plain English. Don’t worry about using a query language.

Submit ONE 3- to 5-page paper that synthesizes all of the relevant ideas and contributions. The paper is due by Sunday 07/03/2016 before midnight.

To prepare:

Review this week’s Learning Resources and conduct additional online research about databases and clinical information. Share your understanding and the outside sources you find with your team members.
Come to a consensus about the particular topic or area of interest to be the focus of your database.
Discuss possible clinical questions that could be answered by information in your database and by focusing on the topic or area you agreed upon. Be sure that the questions are simple, specific, and related to patient care. For example, a possible question could be “What is the rate of pneumonia for patients who receive Vaccine X?”
Come to an agreement on which question you will use as the focus of your database design. Remember that this question should be relatively simple; it should not be a question that would be appropriate for a research project or a large-scale study.
Consider your question as the output for the database you will design in Part 3. Reflect on why it is important to determine the output(s) for a database before determining the required input(s).
Based on the question your team selected, collaborate with your team members to determine the data (inputs) that the database will need. The input(s) should be directly related to answering the question your team selected.
Draft an entity relationship diagram for the question you selected. Review the examples provided in the Coronel text, e.g. Figure 2.3 on page 43. You may opt to use any of the three types of entity relationship model notations demonstrated.

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The at-will employment doctrine governs most hiring and firing among non-public sector health care facilities. Discuss the strengths and weaknesses of this doctrine.

Include at least 2 Peer review references Using APA format for all questions. Never cover page needed.

1. The at-will employment doctrine governs most hiring and firing among non-public sector health care facilities. Discuss the strengths and weaknesses of this doctrine. How would you amend it, if at all? Discuss your opinions of unions within healthcare settings. References should contain a minimum of 2–3 peer-reviewed references.

2. The Institute of Medicine (IOM) report “To Err is Human” compared the daily number of patients victim to medical errors as the equivalent of a jetliner crashing. This alarming comparison, help push the prevention of medical errors and the concept of quality to the forefront; while the number of malpractice lawsuits continues to rise. In 250 words share your position on whether or not, a limit should be placed on malpractice awards? In addition, explain how, a medical malpractice suit serve as an opportunity to learn, grow and move forward in hopes of another occurrence. References should contain a minimum of 2–3 peer-reviewed references using APA format.

3. An experimental method is a research method. In a minimum of 250 words, provide a scenario and research question on experimental method used in research. What are some considerations you would need to take in designing the research as related to your hypothetical research question and experimental method? References should contain a minimum of 2–3 peer-reviewed references.

4. One of the quality measures reported by hospitals to the Centers for Medicare and Medicaid Services which is published on the Hospital Compare website is statistics on “surgery patients who were given an antibiotic at the right time (within one hour of surgery) to help prevent infection.” Answer the following questions to reflect on your understanding of this quality measure. In a minimum of 250 words address the following:

Why is it clinically important for patients to receive antibiotics prior to surgery?
In regards to clinical documentation in the health record that would be reviewed to report on hospital performance of this quality measure, which portion of the record would provide the most accurate details to confirm the administration and time of administration of antibiotics prior to surgery?
If hospital a consistently scores low on this measure, what does this indicate?
If a hospital is scoring low on this quality measure, which clinical quality management process could be used to help the hospital understand why the performance is low, formulate a plan to improve its score, implement the plan, and evaluate results of this measure in the future?

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